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r� "`"•r SAN JOAQUIN COUNTY 10 <br /> t <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E Main Street Stockton•CA 95202 <br /> (209)468-3420•Fax.(209)464-0138• Web:www.sjgov.org h <br /> ®P <br /> EMERGENCY RESPONSE RECORD <br /> DATE: 41,116.1SHORT TERM#: Wifl <br /> C�00 <br /> PREMISE CITY: <br /> ADDRESS: <br /> DBA: <br /> PREMISE PHONE: <br /> OWNER: <br /> OWNER'S CITY: <br /> ADDRESS: <br /> FACILITYCo PHONE: fnd� <br /> CONTACT: t t <br /> RESPONSIBLE PARTY (RP) ® VAC v r <br /> RP NAME: U J PHONE:RP <br /> ADDRESS: Z (,( w' N�`���" �yi S e CITY: <br /> CONTACT: S ,RP <br /> PHONE: <br /> a <br /> NATURE OF COMPLAINT(explosion, spill, leak, fire,or abandoned/dum d material) <br /> All f �vuhi vaern� #vtv Y�jpti(¢ �`ejt it Svv�tl v¢Inte(e li Irsa <br /> nu¢Y w a �sc�via r avjlh aY@� �� u� �o p(�n a� <br /> TIME TIME OF ARRIVAL: TIME OF <br /> RECEIVED: DEPARTURE: <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE TOA TOD <br /> DIA 16R, (J' r V6r 'x'11 �✓L "®"_ <br /> IDENTIFICATION OF MATERIAL(CHEMICAL INvocvsnI <br /> SUBSTANCE SO POWDER GAS LIQUID GRANULE <br /> FORM LID <br /> ] I <br /> REFERRALS DATE <br /> TO: MAILED: <br /> DATE COMPLETED....PROP <br /> 65: Douglas Y Bale <br /> PERSONS EXPOSED and/or INJURED Environmental Lead <br /> NAME A PSEF/FLE <br /> FPL Energy, <br /> FPL Energy <br /> 2526 W.Washington St. POSOEF <br /> "PERSONAL TOXIC SUBSTANCE EXPOSURE RECORD" Ct Stockton,CA 95203 <br /> an FPL Group company 209-320-3714 tel 209-649-4876 mobile <br /> ER RECORD MODIFIED Page 1 of 4 Recycled Paper douglashaie haie@FPL.com <br /> I <br />